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We will not sell, lease or provide your name to any outside organization.  This survey is for the exclusive use of yourfavorite.com and affiliates.  The only organization that will have your survey information is yourfavorite.com.  We will not sell, lease or provide your name to any other organization, ever. Your e-mail will be added to an opt-in, opt-out newsletter called eTrader.

Your Name * = Required
Address *
City *
State *
Zip *
Phone Business *
Phone Home
Fax Number
E-mail Address *

Website Hosting 

Choose One Yes No Do you have a web-site?
Choose One Top Level [.com, net, org] Subdomain [ex. members.aol.com/yoursite] Mall Site or Ad Space only None What kind of
                                                   site(s) do you have?

Choose One Yes No Do you pay for hosting?
Choose One FREE Under $5 per month Between $5-$10 per month Between $10 and $20 per month Between $20 and $30 per month Between $30 and $40 per month Between $40 and $50 per month Over $50 per month How much do you pay in
                                                         hosting fees for each site?

How many unique visitors do you have each month?
What is your main web-site address
Choose One Yes No Are you happy with your current web-host? 
Choose One Yes No If you could switch your hosting company
               easily for a better overall package, would you? 
Choose One Yes No *Do you have yourdomain.com e-mail ? 
If not, what provider do you use?

Sales

Choose One Sell Products Info Only Do you sell products at your site? 
                              Or is it for information only?
Choose One Yes No Do you accept credit cards at your business?

What cards do you accept? Please Check Below:
MasterCard
Visa
American Express
Discover

Choose One Yes No Do you accept electronic checks by phone, 
                             fax or at your website?

If yes, Please Proceed Past This Section | | | |

If No, Why Not? I Do Take eChecks - Skip Question Did not know it was possible I know it's possible, but don't know how      It costs too much  Does not apply Yes No Would you accept                    electronic checks if you could?

What program do you use to take checks? 
Please select one or more:
Authorize.Net / CyberCash / LinkPoint
CheckWriter Software
Other Software Please List
ACH System
Third Party System 
None

What would be your prize of choice  
if your name is drawn as a winner from the survey pool?
Dot.Com Gift Card
CheckWriter Software Package
Shopping Cart and Free Secure Hosting for a Year

Please push the Submit Button. Thank you.